WAL-MART STORES EAST LP
Community/Retail Pharmacy · BRISTOL, TN
Organization Active NPI 1679590855
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 87 | 262 | $18,962 | $18,515 | $18,515 |
| 2023 | 120 | 518 | $19,449 | $18,595 | $18,595 |
| 2022 | 222 | 1,228 | $23,254 | $22,448 | $22,448 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| G0008 | Administration of influenza virus vaccine | 77 | $21 | $21 |
| 90662 | Influenza vaccine split virus, preservative free | 74 | $82 | $82 |
| 90480 | Admn sarscov2 vacc 1 dose | 42 | $9 | $9 |
| 91322 | Sarscov2 vac 50 mcg/0.5ml im | 30 | $158 | $158 |
| 91320 | Sarscv2 vac 30mcg trs-suc im | 12 | $153 | $153 |
| 90677 | Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 12 | $292 | $292 |
| G0009 | Administration of pneumococcal vaccine | 12 | $19 | $19 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Community/Retail Pharmacy | 3336C0003X | ✓ | C2255 | TN |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — | |
| Pharmacy | 333600000X | — | — |
Other Community/Retail Pharmacy providers in Tennessee
- NPI 1760437347
- NPI 1366549974
- NPI 1316964893
- NPI 1578958146
- NPI 1598768699
- NPI 1881150811
- NPI 1073170718
- NPI 1346690278
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.